| Sara Johanna Penno, MS | |
|
206 Ridgewood Ave, Brandon, FL 33510-4617 | |
| (813) 662-1060 | |
| Not Available |
| Full Name | Sara Johanna Penno |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 206 Ridgewood Ave, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124698022 | NPI | - | NPPES |
| 10158 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA20971 (Florida) | Primary |
| Provider Name | Expressable Speech-language Pathology Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220301000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Johanna Penno, MS 3002 W Cleveland St Unit D10, Tampa, FL 33609-3182 Ph: (262) 323-4434 | Sara Johanna Penno, MS 206 Ridgewood Ave, Brandon, FL 33510-4617 Ph: (813) 662-1060 |
Stephanie Madill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Mrs. Stacy Heath, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr., Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Heather Martinez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Monica Barcelo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Kristen Leigh Bond, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 937 Wicketrun Dr, Brandon, FL 33510 Phone: 954-817-7499 | |
Devon Hornung, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 813-653-1149 Fax: 813-654-6644 | |
Mrs. Melissa Perkins, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Vonderburg Dr, Brandon, FL 33511 Phone: 305-901-9309 |